| NPI | 1265251011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW124311) |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-12-03 |